HomeMy WebLinkAboutAUTH-07-2022-175724.TIF .a.°1RA''y.4F:a-ia Yel •
I �.� 2 CATAWBA COUNTY
,� Public Fledlh DepanmmtSubdivision WfNSWEPT PH 5.3
* t, PIN* 387804710150
9�in -. a,;Emtronmenal Health Division
'. vhLV .PO Bps 389,25 Government Drive,Newton,NC 28658 LOT* 82
Site Address: 4665 CAYTON DR,MAIDEN NC 28650
Name on Permit: 'NEST HOMES LLC
Property Sire: Acres 0.98
Directions: Left off of S NC 18 Hwy onto Cayton Dr.5th lot on right after North Wynswept Dr
J� Owner/Authorized Representative Acknowledgement of Permit Receipt
(C I certify that I am the owner or authorized agent(owner's authorization required)representing the owner of
theeppropMy described above.
Of As the property owner or authorized representative,I have received the above referenced
permit(s)as requested in the application for service RBPR-04-2022-40706,by the following method(s):
-Received in Person
—
Facsimile Transmittal.(Return form with signature required)
Electronic Image Transmittal/E-mail (Return receipt required) -
Cif As the property owner or authorized representative I have reviewed and understand the specific conditions
' of the permit issued, and further understand that all applicable regulatory requirements specified under the f
North Carolina Laws and Rules for Sewage Treatment and Disposal Systems(15A NCAC ISA.1900),
and/or Well Construction Standards(15A NCAC 2C.0100);,shall apply to the issuance of this permit and
the construction of the wastewater system and/or water supply well permitted. ;
•
Permit Issue Date:07/14/2022 ))� y� _p .
Owner/Authorized Representative Signatu elre y Q9'GVt.
Date Ill J 2e2 .
f t
Documentation of Permit(s)Transmittal
(permit transmitted by electronic or other means)
Permit transmitted by (name of person sending permit)
SignatureCr° / Date/Time 7)) /in/)e) _
Method: Fax "Email _US Mail Other
Owner's request to send by the above indicated method of transmittal in lieu of signature
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dgm,n, 07/24,2022 If:II 1 e